38D-011 BP-2024-1211
12 REED ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38D-011-001 CITY OF NORTHAMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-1211 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2024 Contractor: License:
Est.Cost: 8500 ROBERT THIBODO 65699
Const.Class: Exp.Date:06/22/2025
Use Group: Owner: MELANIE CHASE,
Lot Size(sq.ft.)
Zoning: SC/URB Applicant: BOB THIBODO ROOFING AND SIDING
Applicant Address h ne: Insurance:
P 0 Box 201 (413)575-1967 65OUB-020N 14
NORTHAMPTON, MA 01061
ISSUED ON: 09/19/2024
TO PERFORM THE FOLLOWING WORK:
STRIP AND REROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $60.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEIVED
rSEPlR21
024
„ The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
V .
DFPT.OF GUL. 'PF.CTIONS Massachusetts State Building Code,780 CMR MUNICIPALITY
NORTHA Uf.1 y.,I. A 01 060 USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: - Date Applied:
Building Official(Print Name) ignature Date
SECTION 1:SITE INFORMATION
1.1 P roperWitiddreess:‘ 1.2 Assessors Map& Parcel Numbers
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:1 ex\r i C-V) N S F 1>f -44 CA k G hflk
Name(Print) City,State,ZIP
\'3 s ad-3
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) Gel Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
B ' f Description of Proposed Work2:
0 ki.eys_o&-• S11 iNn ;Ai
\e\'er ) \Ie NrNk- } c�
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression 7�
Total All Fees
Check No. _3eck Amount: l�,
6.Total Project Cost: $ 0 0 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) b . l- S
f3,f; -1-11 t`\-)Cj ki L se Number Expiration Date
Name of CSL Holder `owl 9
G A-,�[A 1-R. S st SL Type(see below)
No.andme Street Type Description
acA-'hr. -1-.6
1 d r \ U Unrestricted(Buildings up to 35,000 Cu.ft.)
' ' R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
e ..:11...741v1,,ikr.4)
RC Roofing Covering
WS Window and Siding
( SF Solid Fuel Burning Appliances
"I 13 S~l $i 6i6--1 I Insulation
Telephone Email address D Demolition
5.2 Registered Home�provement Contractor(HIC) s�,.l ( 1 I,cl 3-
rl
1 6 AO C Registration timber `/Expiration Date
H C Comeny Name or HIC Registrant Na
x�a`t .�S+t-' - cv 14 .ho 6 -\ \,e %-., 4 Z,` 0
o. S eet ^^ Email address i
vt-INN,...10." kiNts kNSS S--/ 3 11 4,--%
City/Town,State, IP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issu ce of the building permit.
Signed Affidavit Attached? Yes . No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FORI BUILDING PERMIT
I,as Owner of the subject property,hereby authorize ('k:I ie. 11 h C.k)
to act on my behalf,in all matters relative to work authorized by this building permit application.
\NN. \G.Nc,:R. e\\C.s,.‘ 9 i Iy
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
1 o�11-A,o kv — � 9 1 3.(1
Print Owner's or Authorized Agent's Name(E ec onic ignattire) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
y Massachusetts /,� ,
x DEPARTMENT OF BUILDING INSPECTIONS :-
212 Main Street • Municipal Building b! ���
� Northampton, MA 01060 ssp�; _3�,1 ~\
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
() ;v GI<
The debris will be disposed of in: \ `�c u„�
'1\1 `
Location of Facility: N/ vY`c[ cA,v,,, ---1'G,,-� \,i e \ _�, YC <: �,. ‘'v\cl
The debris will be transported by:
Name of Hauler: - -DC.") . \ --) -D &)
Signature of Applicant: T,TQ,c, Date: 1 0. (.• <Al